person
Johanne Theodule Fahy, PA-C
Medical Physician Assistant in Orland Park, Illinois
NPI 1821277682

Johanne Theodule Fahy is a Medical Physician Assistant based in Orland Park, IL and is specialized in Medical. Johanne Theodule Fahy practices in Orland Park, IL and has the professional credentials of PA-C. The NPI Number for Johanne Theodule Fahy is 1821277682 and holds a License No. 085003125 (Illinois).

The current practice location address for Johanne Theodule Fahy is 16450 104Th Ave, Orland Park, IL and can be reached out via phone at 708-349-0070 and via fax at 708-349-0077.

Location: 16450 104Th Ave, Orland Park, IL, 60467-5413
person
Provider Profile Details
NPI Number
1821277682
Provider Name
Johanne Theodule Fahy
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
16450 104Th Ave, Orland Park, IL, 60467-5413
Phone Number
708-349-0070
Fax Number
708-349-0077
Provider Enumeration Date
10/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16450 104Th Ave
City
State
Zip
60467-5413
Phone Number
708-349-0070
Fax Number
708-349-0077
person
Provider Business Mailing Address Details
Address
16450 104Th Ave
City
State
Zip
60467-5413
Phone Number
708-349-0070
Fax Number
708-349-0077
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085003125 (Illinois)
Definition
Definition to come...
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